TECHNICAL FIELD
[0001] This invention relates to protein complexes having Factor VIII:C activity, and to
methods for producing said complexes by expression of suitable polynucleotide constructs.
The protein complexes are useful in the treatment of classical (Type A) hemophilia.
BACKGROUND OF THE INVENTION
[0002] Hemophilia A is an X-chromosome-linked inherited disease which afflicts 1-2 males
per 10,000. The desease is caused by an absence of deficiency of Factor VIII:C. Factor
VIII:C is a very large glycoprotein (native M
r 330 K - 360 K), which is present in plasma at extremely low concentrations. It is
a necessary element in the proteolytic cascade which converts soluble fibrinogen to
insoluble fibrin, forming a clot to prevent blood loss from traumatized tissue. In
the bloodstream, it is found in noncovalent association with Factor VIII:R ("von Willebrand
factor"), which acts as a stabilizing carrier protein. Factor VIII:C is very susceptible
to cleavage by thrombin, plasmin, protease C, and other serine proteases. It is generally
isolated from plasma or plasma products as a series of related polypeptides ranging
from M
r 160 K-40 K with predominant species of M
r 92 K and M
r 80 K-77 K. This complex pattern has made the analysis of the structure of active
Factor VIII:C very difficult.
[0003] Factor VIII:C and the related polypeptides have been described by F. Rotblat et al,
Biochemistry (1985) 24:4294-4300; G.A. Vehar et al, Nature (1984) 312:337-342; J.J.
Tooleet al, Nature (1984) 312:342-347; and M.A. Truett et al, DNA (1985) 4:333-349.
E. Orr et al, Molecular Genetics of Clotting Factors, p. 54, s321, reported a "spacer"
function for the heavily glycosylated region of Factor VIII:C. The sequence has been
reported by J.J. Toole et al, supra; W.I. Wood et al, Nature (1984) 312:330-336; and
M.A. Truett et al, supra. The full-length protein contains three repeats of one sequence
(I), and two repeats of a second sequence (111). A third, heavily glycosylated sequence
(II) is present between the second and third I repeats, and is apparently cleaved
proteolytically to form the M
r 92 K and M
r 80 K polypeptides. The first two I repeats form the A domain, while the third I repeat
and the two III repeats form the C domain. The II sequence forms the B domain. Thus,
the full-length protein has the structure I
1-I
2-II-I
3-III
1-III
2 (A-B-C), while the M, 92 K and M
r 80 K polypeptides (A and C) have the structures I
1-I
2 and I
3-III
1-III
2, respectively. C. Fulcher et al, J Clin Invest (1985) 76:117-124, suggested that
based on antibody-epitope data with Factor VIII:C, both the M
r 92 K and the M
r 80 K polypeptides are necessary for Factor VIII:C function.
[0004] Factor VIII:C has historically been isolated from blood in a concentrated form for
therapeutic treatment of hemophilia. However, concerns regarding transmission of HIV
and other blood-borne diseases have stimulated activity to provide alternative supplies
of Factor VIII:C. It is of substantial interest to be able to supply compositions
having Factor VIII:C activity without concerns as to the transmission viral diseases
associated with the native Factor VIII:C.
[0005] Although full-length recombinant human Factor VIII:C has been produced, it is difficult
to purify and characterize, and it is unstable due to proteolysis. Efficient recombinant
production of the full-length molecule for clinical use is doubtful at this time.
[0006] R.L. Burke et al, J Biol Chem (1986) 261:12574-78 disclosed the expression of an
active Factor VIII:C complex from cells simultaneously transfected with polynucleotides
encoding M
r 92 K and M
r 80 K polypeptides. The obtained protein demonstrated activity equal to that of cloned
full-length Factor VIII:C expressed under similar conditions. O. Nordfang et al, J
Biol Chem (1988) 263:1115-18 disclosed the in vitro assembly of active Factor VIII:C
complexes from separate preparations of M
r 92 K protein and M
r 80 K protein (FVIII-HC and -LC, respectively). Successful assembly required divalent
metal ions (especially Mn and Ca) and thiols, but only a small amount of FVIII-HC
could be complexed into active FVIII:C.
DISCLOSURE OF THE INVENTION
[0007] We have now invented an improved method for expressing recombinant protein complexes
with high stability and Factor VIII:C activity. The M
r 92 K polypeptide (FVIII-HC) and the M
r 80 K polypeptide (FVIII-LC) are expressed as two separate polypeptides, under the
control of separate promoters, within the same host cell. Each polypeptide is preferably
expressed using a signal sequence which directs export to the extracellular space
with cleavage of the signal sequence. FVIII-HC may according to a first aspect of
the invention be expressed as a fusion protein having a C-terminal extension. The
extension comprises a polypeptide sequence homologous to the B domain N-terminal sequence
(which may allow cleavage by thrombin), a polypeptide spacer of 3 to 100 amino acids,
and a sequence homologous to the C-terminal B domain sequence. A C-terminal extension
of FVIII-HC results in a high yield of active polypeptide upon expression in eukaryotic
host cells. FVIII-HC may according to a second aspect of the invention be expressed
without any C-terminal extension, in the authentic form having the correct C-terminal,
in which case a later thrombin cleavage implying a risk of further degradation is
avoided. FVIII-LC is preferably expressed as an LC polypeptide using a signal peptide.
The FVIII-LC polypeptide is processed and secreted efficiently with the correct N-terminal
amino acid residue, and correct glycosylation. Cotransfection with polynucleotides
encoding FVIII-HC and FVIII-LC in a suitable host cell provides recombinant protein
complexes having Factor VIII:C activity in high yield.
[0008] The term "polynucleotide" as used herein refers to a sequence of DNA or RNA, which
may be single or double-stranded (ss or ds), or a DNA-RNA heteroduplex. In most cases
herein, polynucleotide will refer to dsDNA.
[0009] The term "signal peptide" as used herein refers to a peptide sequence which is recognized
and acted upon by signal peptidase during expression of the polypeptide. Signal peptides
encode peptide sites for signal peptidase cleavage, and cause the attached polypeptide
to be transported into the secretion pathway leading to the extracellular medium.
[0010] The term "A domain" refers to that portion of human Factor VIII:C which constitutes
the M
r 92 K protein subunit. The A domain contains from about 740 to about 760 amino acids,
and is found at the N-terminus of the native human Factor VIII:C. The A domain polypeptide
will extend from amino acid 10, usually amino acid 1, to at least about amino acid
620, usually at least about amino acid 675, more usually at least about amino acid
740. The polypeptide will include at least about 85% of the A domain (Wood et al,
supra), more usually at least about 90%, preferably about 100%, and may optionally
include a portion of the N-terminus of the B domain, typically not exceeding about
amino acid 1405. Of particular interest is an N-terminal chain having the entire sequence
to the thrombolytic cleavage site at Arg
740-Ser
741.
[0011] The term "B domain" refers to that portion of native human Factor VIII:C which is
generally removed by intracellular cleavage, and which is heavily glycosylated when
expressed in mammalian cells such as COS7 and CHO. The B domain contains an N-terminal
sequence, which allows cleavage of the A domain from the B domain by thrombin. The
B domain also has a C-terminal processing site which allows cleavage of the C domain
from the A-B precursor by an enzyme located in the Golgi apparatus of the mammalian
cell. The sequences of the N-terminal and C-terminal sequences are set forth in the
Examples below. The complexes of the invention which lack "a substantial portion of
the B domain" lack essentially all of the B domain except for the N-terminal and C-terminal
sequences.
[0012] The term "C domain" refers to that portion of native human Factor VIII:C which constitutes
the C-terminus of the full length protein, and is cleaved intracellularly to form
the Factor VIII:C light chain. The light chain will have an amino acid sequence substantially
the same as the amino acid sequence of the C-terminus of a Factor VIII:C polypeptide,
usually at least about 80%, more usually at least about 90% of the Factor VIII:C M
r 80 K chain, particularly beginning with amino acid 1570, usually acid 1600, particularly
amino acid 1625, more particularly amino acid 1640, preferably at about amino acid
1649, ±10 amino acids, more particularly ±1 amino acid, and continuing to at least
about amino acid 2300, usually 2310, ±10 amino acids, preferably 2325, ±5 amino acids,
more preferably to the terminal amino acid (2332). Usually, the light chain will have
at least about 85%, more usually at least 95%, of the C1-C2 domains, desirably the
A3-C1-C2 domains.
[0013] The term "co-expressing" as used herein refers to simultaneous expression of an A
domain polypeptide and a C domain polypeptide within the same host cell. The polynucleotide
sequences encoding the A and C domains may be on the same or on different expression
cassettes or plasmids. Co-expression of the A and C domains permits proper folding
to occur, which in turn provides an A-C complex having higher activity and efficiency
of secretion.
[0014] The term "cell growth medium" as used herein refers to any medium suitable for culturing
host cells, and includes media suitable for obtaining expression of recombinant products
whether actual cell "growth" occurs or not. Cell growth media generally include nutrients
and a metabolizable energy source in an aqueous solution. If desired, cell growth
media may also include a compound which induces expression of the recombinant polypeptides
of the invention. Selection of such an inducing compound depends upon the promoter
selected to control expression. Other typical additives include selection compounds
(i.e., drugs or other chemicals added to the media to insure that only transformed
host cells survive in the medium) and serum, such as fetal bovine serum (FBS). "Serum-free
medium" is a solution which has been supplemented to such an extent that the necessary
trace factors present in serum need not be added in the form of serum. There are many
suitable cell growth media available from commercial sources.
[0015] The term "polypeptide spacer" refers to a polypeptide sequence of about 3 to about
100 amino acids, which is generally not homologous to the human Factor VIII:C B domain,
and which carries fewer than 5 potential sites of N-linked glycosylation. Preferably,
there will be 2 or fewer such sites. It is presently believed that the large size
and high degree of glycosylation of the B domain prevents efficient expression of
the M
r 92 K polypeptide. It has also been believed that the A domain may not be folded correctly
on a consistent basis in the absence of the B domain, so that only a small percentage
of the A domain is correctly folded and expressed.
[0016] The polypeptide spacer according to the first aspect of the invention provides a
C-terminal extension to the A-domain, and apparently stabilizes the polypeptide and
improves secretion in active form. Thus, it may be that use of a polypeptide which
is glycosylated lightly (or not at all) prevents the A domain-spacer construct from
encountering the same size problems obstructing expression of full-length Factor VIII:C.
The presently preferred spacer is derived from a human lg heavy chain hinge, particularly
from human IgAI. This spacer provides a flexible extension, without adding an immunogenic
epitope (when administered in humans). According to the second aspect of the invention
a very high and useful coagulent activity may be obtained when co-expressing the M
r 92 K polypeptide wherein the B domain is completely removed together with the M
r 80 K chain.
[0017] The term "homology" as used herein means identity or substantial similarity between
two polynucleotides or two polypeptides. Homology is determined on the basis of the
nucleotide or amino acid sequence of the polynucleotide or polypeptide. In general
terms, usually not more than 10, more usually not more than 5 number%, preferably
not more than about 1 number% of the amino acids in the chains will differ from the
amino acids naturally present in the Factor VIII:C A and C domains. Particularly,
not more than about 5%, more usually not more than about 1 % will be nonconservative
substitutions. Conservative substitutions include:

Nonconservative changes are generally substitutions of one of the above amino acids
with an amino acid from a different group (e.g., substituting Asn for Glu), or substituting
Cys, Met, His, or Pro for any of the above amino acids.
[0018] The term "sufficient amount" of protein complex of the invention refers to that amount
of protein which is capable of effecting therapeutic treatment of a subject having
a disorder treatable with native human Factor VIII:C. In general, the protein complex
of the invention is essentially as active as native human Factor VIII:C, and may be
administered in similar amounts. The specific activity of the protein complex of the
invention may be determined by means known in the art, as described below (e.g., by
using the commercially available Coatest assay).
[0019] The term "effective concentration" refers to a concentration of expression cassette
which is capable of transforming a host cell under appropriate transformation conditions.
[0020] DNA constructs are generally employed for expression of the polypeptides of the invention.
Each of the polynucleotide constructs will have, in the 5'-3'-direction of transcription,
a transcriptional initiation and translational initiation region, a structural gene
coding region comprising a sequence coding for the signal peptide sequence, and a
sequence coding for the Factor VIII:C heavy or light chains, followed by translational
and transcriptional termination sequences. The selection of specific elements such
as these is within the skill of the art.
[0021] The initiation region may comprise a number of different sequences related to the
initiation of transcription and translation. These sequences include enhancer sequences,
RNA polymerase binding site, RNA capping site, ribosomal binding and translational
initiation sites, and the like. The transcriptional initiation region may be the natural
region associated with Factor VIII:C, or may be an alternative sequence to provide
for higher transcriptional efficiency. The sequences may be obtained from mammalian
viruses or the genes of the host cell or genes from a different mammalian host which
are active in the host cell. Numerous transcriptional initiation regions have been
isolated and demonstrated to be operative in mammalian host cells. These regions include
the SV40 early promoter and late promoter regions, the adenovirus major late promoter
region, actin promoter region, the cytomegalovirus M
r 72 K immediate early protein promoter region, the metallothionein promoter, and the
like.
[0022] The termination region may include 3'-untranslated sequences, a polyadenylation signal
sequence, and the like. The termination region may be obtained from the 3' non-translated
sequence of the Factor VIII:C natural cDNA, or may be from the same structural gene
or different structural gene from which the 5'-initiation region was obtained. The
3'-region is not as essential to the level of transcription as the initiation region,
so that its choice is more of a matter of convenience than specific selection.
[0023] The structural genes typically include a leader sequence coding for the signal peptide
which directs the polypeptide into the lumen of the endoplasmic reticulum for processing
and maturation. Optionally included are additional sequences encoding propeptides
which are processed post-translationally by endopeptidases, where the endopeptidases
cleave a peptide bond, removing the propeptide to generate the mature polypeptide.
The signal peptide may be the naturally occurring one, particularly for the N-terminal
peptide, or may be any signal peptide which provides for the processing and maturation
of the polypeptides.
[0024] Various signal peptides have been reported in the literature and include such sequences
as that of tissue plasminogen activator, immunoglobulin heavy and light chains, viral
membrane glycoproteins such as Herpes Simplex virus glycoproteins gB and gD, a,-antitrypsin,
and the like. The a,-antitrypsin signal peptide is presently preferred for secretion
of the FVIII-LC polypeptide due to the high level of expression of a peptide having
a correct N-terminal.
[0025] The DNA sequences encoding the mature protein and signal peptide must be joined so
as to be in reading frame. Where convenient restriction sites are available, the cohesive
or blunt ends may be properly joined. However, for the most part, adapters will be
employed where portions of the coding sequence will be recreated in the synthetic
adaptor so that the truncated structural gene and/or truncated signal sequence will
be linked through the adaptor, so as to be in proper reading frame. The signal sequence
and structural gene may be partially restriction mapped, so as to identify restriction
sites, particularly unique restriction sites, which may be employed to link the two
sequences together in proper reading frame by means of an appropriate adaptor. Alternatively
unique restriction sites may be inserted at the junction of the signal sequence and
mature polypeptide coding sequence by in vitro mutagenesis.
[0026] The translational start and stop signals will normally be part of the structural
gene, providing for the initiation codon for the beginning of translation and one
or more stop codons for the termination of translation. The initiation codons will
be the first codons of the signal sequences. The stop codons may be added as appropriate
as part of the termination region or be added to the coding region to provide for
convenient 3'-terminus for linkage to the transcriptional termination region to provide
for a complete termination region.
[0027] The various regions of the expression cassette, (the transcriptional and translational
initiation region nucleic acid sequence, structural gene nucleic acid sequence encoding
one of the polypeptides and under the transcriptional and translational control of
the initiation region, and a transcriptional and translational termination region,
controlling the processing of the mRNA and the translational termination) which identify
the particular nucleotide sequences may be joined using conventional methods. Usually,
the sequences obtained will contain, or be modified to contain restriction sites,
which may then be annealed where complementary overhangs or cohesive ends are present.
Modification frequently will be in noncoding regions by the introduction of linkers
to provide for the desired cohesive ends. The ends will usually be ligated prior to
introduction into the host cell, although the host cell may be allowed to provide
the necessary ligation.
[0028] The expression cassettes may be joined to a wide variety of other sequences for particular
purposes. Where amplification of the amount of secreted glycoprotein is desired, the
expression cassettes for FVIII:C may be joined in tandem to a gene for which spontaneous
increases in gene copy number can be selected by an appropriate treatment. Such genes
include the human metallothionein gene, and the mouse dihydrofolate reductase gene.
These genes are placed in cassettes having their own transcriptional and translational
regulatory sequences. By selecting cell clones resistant to increasing concentrations
of heavy metal ions (e.g., cadmium) or methotrexate, the gene of the interest (the
expression cassette) may be co-amplified in the host cell.
[0029] The subject expression cassettes may be part of a vector comprising a replication
system functional in the host cell, which replication system may provide for stable
episomal maintenance or integration of the expression cassette into the host genome.
The vector will also comprise a marker for selection, for selecting mammalian host
cells containing the DNA construct and the vector from those host cells which lack
the DNA construct and vector.
[0030] A wide variety of replication systems are available, typically derived from viruses
that infect mammalian host cells. Illustrative replication systems include the replication
systems from Simian virus 40, adenovirus, bovine papilloma virus, polyoma virus, Epstein
Barr virus, and the like.
[0031] Selection markers enabling propagation of the vector in prokaryotic host cells may
include resistance to a biocide, particularly an antibiotic, or complementation of
auxotrophy to provide a prototrophic host. Particular genes of interest as markers
include kanamycin resistance gene (NPTII), chloramphenicol resistance gene (CAT),
penicillinase (β-lactamase), or the like.
[0032] The vector will usually be circular, and will have one or more restriction sites
which allow for the insertion of the expression cassette, stepwise or as a completed
entity, into a vector. Frequently, the vector will also include a bacterial replication
and selection system, which allows for cloning after each of the manipulative steps.
In this way, relatively large amounts of the construction at each of the stages may
be prepared, isolated, purified, tested to verify that the proper joining has occurred,
and then used for the next stage.
[0033] Various mammalian host cells may be employed in which the regulatory sequences and
replication system are functional. Such cells include COS7 cells, Chinese hamster
ovary (CHO) cells, mouse kidney cells, hamster kidney cells, HeLa cells, HepG2 cells,
or the like.
[0034] The expression cassettes of the desired polypeptides may be linked together in one
nucleic acid chain or may be provided in separate nucleic acid molecules. The expression
cassettes may be parts of different vectors or of the same vector. This is primarily
a matter of convenience, although in some situations with particular vectors, one
or the other manner of construction may be preferable.
[0035] The expression vector may be a replication-deficient retrovirus. S.-F. Yu et al,
Proc Nat Acad Sci USA - (1986) 83:3194-98 disclosed the construction of self-inactivating
("SIN") retroviral gene transfer vectors. SIN vectors are created by deleting the
promoter and enhancer sequences from the U3 region of the 3' LTR. A functional U3
region in the 5' LTR permits expression of the recombinant viral genome in appropriate
packaging cell lines. However, upon expression of its genomic RNA and reverse transcription
into cDNA, the U3 region of the 5' LTR of the original provirus is deleted, and is
replaced with the U3 region of the 3' LTR. Thus, when the SIN vector integrates, the
non-functional 3' LTR U3 region replaces the functional 5' LTR U3 region, and renders
the virus incapable of expressing the full-length genomic transcript.
[0036] The expression cassettes are introduced into the host cell by conventional methods.
Conveniently, calcium phosphate-precipitated DNA or DNA in the presence of DEAE-dextran
may be employed for transformation. A synthetic lipid particularly useful for polynucleotide
transfection is N-[1-(2,3-dioleyloxy)-propyl]-N,N,N-trimethylammonium chloride, which
is commercially available under the name Lipofectin@ (available from BRL, Gaithersburg,
MD), and is described by P.L. Felgner et al, Proc Nat Acad Sci USA - (1987) 84:7413.
Where viruses are involved, transfection or transduction may be employed. The particular
manner in which the host cell is transformed is not critical to this invention, depending
substantially upon whether the expression cassettes are joined to a replication system
and the nature of the replication system and associated genes.
[0037] The transformed/transfected cells are then grown in an appropriate nutrient medium.
The product is obtained as a complex of the two FVIII:C chains, so that the media
or cell lysate may be isolated and the Factor VIII:C active complex extracted and
purified. Various means are available for extraction and purification, such as affinity
chromatography, ion exchange chromatography, hydrophobic chromatography, electrophoresis,
solvent-solvent extraction, selective precipitation, and the like. The particular
manner in which the product is isolated is not critical to this invention, and is
selected to minimize denaturation or inactivation and maximize the isolation of a
high-purity active product.
[0038] Compositions are provided where the composition in the Coatest assay will have at
least 0.02 U/ml of activity, usually at least about 0.2, more usually at least about
0.5 U/ml of activity. The subject product can be purified by affinity chromatography
using antibodies, particularly monoclonal antibodies directed against the FVIII-LC,
electrophoresis, extraction, HPLC, etc.
[0039] The subject method provides for production of a complex of the heavy and light chains
which has Factor VIII:C activity. Production is evidenced by conditioned media as
described in the experimental section, which will have at least about 50, usually
at least about 70 mU/mL, more usually at least about 300 mU/mL of Factor VIII:C activity
in the Coatest assay.
[0040] The complexes having Factor VIII:C activity produced according to the invention have
a variety of uses as immunogens for the production of antibodies, for isolation of
von Willebrand factor by affinity chromatography, in diagnostic assays for Factor
VIII:C and for treatment of hemophiliacs and other hosts having blood clotting disorders.
The subject protein complexes may be administered in physiologically acceptable carrier,
such as water, saline, phosphate buffered saline, and citrate buffered saline, at
concentrations in the range of about 10-200 U/mL. See U.S. Patent Nos. 3,631,018;
3,652,530, and 4,069,216 for methods of administration and amounts. Other conventional
additives may also be included.
[0041] The examples presented below are provided as a further guide to the practitioner
of ordinary skill in the art, and are not to be construed as limiting the invention
in any way.
EXAMPLES
[0042] The examples presented below are provided as further guide to the practitioner of
ordinary skill in the art, and are not to be construed as limiting the invention in
any way.
Example 1
[0043] (Preparation of Expression Plasmids)
(A) pSV7d:
[0044] The expression cassettes were prepared using the mammalian cell expression vector
pSV7d (2423 bp).
[0045] The plasmid pSV7d (see Truett et al, supra) was constructed as follows: The 400 bp
BamHl/Hindlll fragment containing the SV40 origin or replication and early promoter
was excised from pSVgtl (obtained from Paul Berg, Stanford University, California)
and purified. The 240 bp SV40 Bcll/BamHl fragment containing the SV40 polyA addition
site was excised from pSV2/DHFR (Subramani et al, Molec and Cell Biol (1981) 1:854-864)
and purified. The fragments were fused through the following linker:

This linker contains five restriction sites, as well as stop codons in all three reading
frames. The resulting 670 bp fragment containing the SV40 origin of replication, the
SV40 early promoter, the polylinker with stop codons and the SV40 polyadenylation
site was cloned into the BamHl site of pML, a pBR322 derivative having about 1.5 Kb
deleted (Lusky and Botchan, Cell (1984) 36:391), to yield pSV6. The EcoRl and EcoRV
sites in the pML sequences of pSV6 were eliminated by digestion with EcoRl and EcoRV,
treated with Bal31 nuclease to remove about 200 bp on each end, and finally religated
to yield pSV7a. The Bal31 resection also eliminated one BamHl restriction site flanking
the SV40 region, approximately 200 bp away from the EcoRV site. To eliminate the second
BamHl site flanking the SV40 region, pSV7a was digested with Nrul, which cuts in the
pML sequence upstream from the origin of replication. This was recircularized by blunt
end ligation to yield pSV7b.
[0046] pSV7c and pSV7d represent successive polylinker replacements. First, pSV7b was digested
with Stul and Xbal. Then, the following linker was ligated into the vector to yield
pSV7c:

Thereafter, pSV7c was digested with Bglll and Xbal, and then ligated with the following
linker to yield pSV7d:

(B) pSVF8-92:
[0047] pSVF8-92 is an expression plasmid for the M
r 92 K FVIII-HC chain. Starting from the BamHl site in the polylinker pSV7d, pSVF8-92
consists of a 49 bp synthetic linker-adaptor molecule from BamHl to Sacl encoding
nucleotides -30 to + 14 of the Factor VIII:C cDNA, (numbering from the first A of
the translational start site; the sequence is shown below in (D) a 2267 bp Sacl to
Hindlll fragment from the Factor VIII:C DNA contained in pSVFB-200 described below
(up to nucleotide +2281), and pSV7d from Hindlll to BamHl.
(C) pSVF8-80:
[0048] pSVFB-80 is an expression plasmid for the M
r 80 K FVIII-LC chain. Starting from the Sall site in the polylinker pSV7d, pSVFB-80
consists of a 201 bp fragment of a tissue plasminogen activator cDNA from nucleotides
-98 to + 103 (relative to the start codon) terminating at a Bglll site (tPA sequences
given in S.J.F. Degan et al, J Biol Chem (1986) 261:6972-6985), a 29 bp synthetic
Bglll to Bcll linker-adaptor encoding nucleotides +5002 to +5031 of Factor VIII:C
ligated to a 2464 bp Bcll fragment of Factor VIII:C spanning from a Bcll site created
at nucleotide 5028 of the Factor VIII:C cDNA through in vitro mutagenesis (Zoller
and Smith, Meth Enzymol (1983) 100:468) (pF8GM7), to a Bcll site in the 3' untranslated
region, at nucleotide 7492, and a 400 bp fragment of tPA 3' untranslated sequence
spanning from a Bglll site to a synthetic Pstl site generated from the cDNA cloning,
followed by the polylinker from the vector M13mp9 (Vieira and Messing, Gene (1982)
19:259) and then pSV7d.
(D) pSVF8-200
[0049] The vector pSVF8-200 is an expression plasmid for the full-length Factor VIII-C cDNA.
The plasmid pSVF8-200 (described in Truett et al), which contains the entire Factor
VIII:C cDNA coding and 3' untranslated sequences, with the 5' untranslated sequences
the same as described above for pSVF8-92, was prepared as follows.
[0050] Plasmid pSV7d was digested with BamHl to cut in the polylinker region downstream
of the SV40 early promoter. The following 49 bp BamHl-Sacl linker adaptor, which codes
for the last 30 bp of the 5' untranslated region and the first 15 bp of the human
Factor VIII:C coding sequence, was chemically synthesized and ligated to pSV7d.

This ligated plasmid was subsequently digested with Sacl to remove excess linkers
and with Sall to provide a Sall overhang.
[0051] Fragment 1, the 2.9 K Sacl fragment from pF8-102 containing the 5' coding region
of human Factor VIII:C, and Fragment 2, the 6.5 K Sacl-Sall fragment from pF8-6.5
which contains the 3' coding region of the factor, and pSV7d modified vector containing
the linker adaptor were ligated together (see Truett et al, supra). This ligation
mix was then used to transform E. coli HB101, and colonies were selected by resistance
to ampicillin.
[0052] Three hundred transformants were screened by colony filter hybridization using the
BamHl-Sacl 5' adaptor or the 2.9 K Sacl fragment as probes. Those colonies positive
with both probes were then analyzed by restriction mapping. Plasmid pSVF8-200, which
contains the entire coding region for the human Factor vlll:C gene and a 5' untranslated
region properly fused in transcriptional orientation to the SV40 early promoter, was
obtained.
(E) Transfection and Culture of COS7 Cells:
[0053] The plasmids described above were transfected into COS7 cells (Guzman, Cell (1981)
23:175) using the calcium phosphate coprecipitation method (van der Eb and Graham,
Meth Enzymol (1980) 65:828-39) coupled with treatment with chloroquine diphosphate
(Luthman and Magnusson, Nuc Acids Res (1983) 11:1295-1308) using 50 u.g of plasmid
DNA per 5x105 cells for 14 hr. Cells may also be transfected by the DEAE-dextran method
of Sompayrac and Danna, Proc Nat Acad Sci USA (1981) 78:7575-78.
[0054] The COS7 cells were cultured in Dulbecco's modified Eagle medium supplemented with
10% fetal calf serum, 100 U/mL penicillin, 100 u.g/mL streptomycin, 292 u.g/mL glutamine,
and 110 u.g/mL sodium pyruvate. Samples were obtained from a 48-hour collection of
serum-containing medium at 88 hours post transfection.
(F) Assays
[0055] At specific intervals post transfection, medium was removed from the cells, and aliquots
were stored at -70
° C. Samples were tested for their ability to decrease the prolonged partial thromboplastin
time of Factor VIII:C deficient plasma in a standard coagulation assay (Hardisty et
al, Thromb et Diathesis Haemolog(1962) 72:215). The more specific Coatest assay (Rosen
et al, Thromb and haemostasis (1985) 54:818-823), which measures the generation of
activated Factor X (Xa) as a linear function of the concentration of exogenously supplied
Factor VIII:C, was used to verify the results of the coagulation assay. The concentration
of immunologically reactive Factor VIII:C protein in the medium was determined by
the application of a radioimmunoassay (RIA) developed to detect the M
r 92 K polypeptide and by an enzyme-linked im-munosorbant assay (ELISA) specific for
the M
r 80 K polypeptide (Nordfang et al, Thromb and Haemostasis (1985) 53:346).
[0056] As shown in Table 1, expression of the M
r 92 K polypeptide or of the M
r 80 K polypeptide alone produced no detectable activity even though high levels of
each of the individual proteins were present in the conditioned media. When cells
were cotransfected with pSVF8-92 and pSVF8-80 plasmids, the media contained about
20 mU/mL of coagulation activity. The same relative level of the coagulation activity
was secreted by cells transfected with the plasmid pSVF8-200 encoding the complete
Factor VIII:C protein.
[0057] When conditioned media from the pSVF8-92 and the pSVF8-80 single transfectants were
mixed together (using several different conditions as outlined in Table 1 ) no activity
was measurable.
[0058] These results indicate that a complex of the amino and carboxyl terminal domains
of Factor VIII:C retains intrinsic coagulation activity and that the interior domain
is not essential for activity nor for the assembly of an active complex from separate
chains.

[0059] In table 1, Coagulation Time and Activity were obtained as follows: Aliquots of 75
u.L of media, conditioned by the growth of COS7 cells transfected with the indicated
plasmids or mock transfected, were assayed for their ability to decrease the prolonged
partial thromboplastin time of Factor VIII:C-deficient plasma in the one-stage assay.
Briefly, 75 u.L of Platelin (General Diagnostics) was incubated for 3 min at 37
° C, followed by the addition of 75 u.L of Factor VIII:C-deficient plasma plus 75 u.L
of the test sample for an additional 5 min incubation at 37
° C. A 75 u.L aliquot of prewarmed 0.025 M CaC1
2 was added, and the clotting time measured with a Becton-Dickinson fibrometer. Normal
human plasma diluted in COS7 cell medium was used as a standard. One mU of activity
is assumed to correspond to approximately 100 pg of Factor VIII:C protein (Fay et
al, Proc Nat Acad Sci USA (1982) 79:7200).
[0060] In Table 1, the Coatest assay (Kabi) was used to measure the generation of activated
Factor X (Xa) as a linear function of the concentration of Factor VIII:C. The concentration
of Factor Xa is measured by the proteolytic cleavage of the chromogen para-nitroaniline
from a synthetic peptide substrate for Factor Xa. Normal human plasma diluted in 50
mM Tris-HCI, pH 7.3, 0.2% BSA was used as the standard.
[0061] For the RIA assay in Table 1, purified canine Factor VIII:C-inhibitory IgG was coated
onto the wells of a 96-well polystyrene microtiter plate at a concentration of 3.5
u.g/mL in 0.1 M sodium carbonate buffer, pH 9.8, by overnight incubation at 37
° C. The plates were washed 3 times with 0.1 M NaCl, 0.05% Tween@ 20 followed by incubation
with a mixture of test medium samples and iodinated FVIII:C M
r 92 K protein, both diluted in 0.05 M imidazole, 0.1 M NaCl, 1 % bovine serum albumin,
0.05% Tween@ 20, pH 7.3. The FVIII:C M
r 92 K protein was isolated from plasma and was greater then 50% homogeneous as estimated
by SDS-PAGE and silver staining. After incubation for 16 hr at room temperature, the
plates were washed, and the amount of
125I in the individual wells was measured in a gamma counter. An intermediate purified
commercial Factor VIII:C preparation (Factor VIII, NORDISK) with a specific activity
of 0.5 unit of coagulation activity per mg was used as the standard. This standard
was calibrated against the World Health Organization Third International Factor VIII:C
standard. We defined our intermediate purified standard to contain a M
r 92 K RIA activity/Factor VIII:C coagulation activity ratio of 1.
[0062] For the ELISA assay in Table 1, purified human Factor VIII:C-inhibitory IgG was coated
onto the wells of a 96-well PVC microtiter plate at a concentration 4.5 u.g/mL in
0.1 M sodium carbonate, pH 9.8, by overnight incubation at 37°C. The wells were washed
as above and peroxidase-conjugated F(ab')
2 fragments of the human inhibitory IgG diluted in 0.1 M imidazole, 0.15 M NaCl, 1
% BSA, 0.05% Tween 20, pH 7.3, were added for a final incubation of 16 hr at room
temperature. The color was developed with o-phenylenediamine solution. Normal human
serum was used as a standard.
[0063] To verify that the observed coagulation activity was due to Factor VIII:C, the sensitivity
of the coagulation to inhibition by antibody specific for Factor VIII:C was determined.
Prior to assay, aliquots of conditioned media were preincubated for 2 hr at 37°C in
the presence of dilutions of normal human serum or of serum from a hemophiliac who
had developed a high titer of inhibitory antibodies to Factor VIII:C. As shown in
Table 2, the activity of the complete molecule, as well as that of the M
r 92 K-80 K complex was reduced specifically by the inhibitory serum. The same results
were obtained using three different inhibitory monoclonal antibodies which bind to
the M
r 80 K species. Inhibition of Factor VIII:C activity using inhibitory serum was studied
as follows: 160 u.L of the indicated COS7 cell conditioned medium were incubated with
20 u.L of a 100-fold dilution of human Factor VIII:C inhibitory serum (Bethesda titer
1500 units) or a similar dilution of pooled normal human serum, or buffer alone (50
mM imidazole, 0.1 M NaCl, 100 u.g/mL BSA pH 7.3) for 2 hr at 37
° C. These samples were then assayed for residual coagulation activity as outlined
above.

[0064] The inhibition experiment was repeated using monoclonal antibodies, as follows: 100
u.L of conditioned medium were incubated for 2 hr at 37°C with either 10 u.L of a
1 u.g/u.L solution of anti-Factor VIII:C monoclonal antibody from Hybritech (Bethesda
titer 14,000 units) or buffer, and then assayed as above. The results are shown in
Table 3.

[0065] To demonstrate more clearly the existence of a two chain complex, the active species
was partially purified from the COS7 cell media by passage over a MAb column specific
for the M
r 80 K portion. As shown in Table 4, approximately 65% of the applied activity was
retained by the column and 50% of this bound material was eluted in an active form
and at a fivefold greater concentration then in the initial media. Thus an active
complex can be isolated by affinity chromatography using an antibody specific for
only the M
r 80 K species. 100 u.g of an anti-80 K monoclonal antibody (56 IgG) (Nordfang et al,
Thromb Haemostasis (1985) 53:346) coupled to Sepharose CL4B were incubated overnight
at 20
° C with 1.4 mL of medium containing a total of 6.2 mU of activity (measured by the
Coatest Assay obtained from COS7 cells cotransfected with pSVF8-92 and pSVF8-80 plasmids).
After incubation, the slurry was loaded into a column and the flowthrough fraction
was collected. The column was washed with 300 u.L of Buffer A (50 mM imidazole, 0.1
M NaCl, 0.1% sodium insulin, 0.2% NaN
3, pH 7.3) and then eluted with 300 u.L of Buffer B (2.5 M NaCl, 50% ethylene glycol,
0.5 M imidazole, 0.1 M CaC1
2, 0.1% sodium insulin, 0.2% NaN
3, pH 7.3).

[0066] Results reported here demonstrate that expression of the linker ("B") region, containing
918 amino acids or about 40% of the total for the intact protein, is not required
for Factor VIII:C activity. Co-expression of individual M
r 92 K and M
r 80 K regions results in a level of Factor VIII:C activity comparable to that obtained
from the expression of the whole Factor VIII:C coding region. These proteins assemble
in vivo to form an active complex linked by a calcium bridge. The assembly does not
require the presence of the B region and occurs efficiently for the two chains expressed
in trans.
[0067] It is evident from the above results that Factor VIII:C activity can be achieved
by directly producing an N-terminal fragment and a C-terminal fragment which are independently
expressed, each having its own signal sequence. Thus, Factor VIII:C can be obtained
more efficiently, since the large precursor need not be cloned and used as the coding
sequence for the Factor VIII:C activity. Thus, cells may be employed for expression
of Factor VIII:C which may be deficient in the capability for proper maturation of
the full-length Factor VIII:C protein.
Example 2
[0068] Expression of the M
r 92 K protein in COS7 cells using the pSVF8-92 construction was low compared to the
amount of M
r 80 K protein produced. The M
r 92 K protein is apparently retained and/or degraded in the Golgi pathway, and is
not efficiently processed or exported. Accordingly, the construction was modified
in an attempt to increase the level of M
r 92 K protein. Modifications of the following types were made: Changes in the 5' untranslated
sequence of the Factor VIII:C gene; inclusion of heterologous 5' untranslated and
leader sequences; and changes in the 3' untranslated sequences. These constructs are
summarized below.
(A) 5' Untranslated Region Modifications Plasmid pSVF8-92B. This plasmid is a derivative
of pSVF8-92 in which the 30 bp of 5' untranslated sequence of pSVF8-92 is replaced
with the entire 5' untranslated region of human Factor VIII:C cDNA (nucleotides 1
to 171; see Fig. 8 of Truett et al, supra), with a deletion of the G-C tails (by in
vitro site-specific mutagenesis), and the three base changes shown below at the starting
ATG (at position + 172, Fig. 8, Truett et al, supra) to conform to Kozak's preferred
sequences for efficient message translation in eukaryotic cells:
Factor VIII:C: GTCATG CAA
Kozak consensus: ACCATG G
This change alters the second amino acid of the signal peptide to Glu from Gln.
Plasmid pSVF8-92E. This plasmid is a derivative of pSVF8-92B in which the polylinker
derived from pSV7d 5' to the Factor VIII:C sequences is removed with the exception
of the Sall site, and the ATG codon in the 5' untranslated region (at 41 according
to Truett et al, supra) is altered to ATT, by in vitro mutagenesis.
(B) Addition of Heterologous 5' Sequences Plasmid pSVF8-92G, H, and I. These plasmids
are derivatives of pSVF8-92B in which the 5' untranslated region as well as the natural
Factor VIII:C signal sequences are replaced with the analogous region from the human
tissue plasminogen activator (tPA) cDNA. In pSVF8-92G the first 35 amino acids (signal
and pro-sequences) of the tPA pre-pro region are joined to mature Factor VIII:C Mr 92 K with a serine substituted for the first amino acid (alanine) of the Mr 92 K protein. In pSVF8-92H the first 32 amino acids of the tPA pre-pro region are
joined to mature Factor VIII:C Mr 92 K protein. In pSVF8-921, the first 23 amino acids of the tPA pre-pro region are
joined to mature Factor VIII:C Mr 92 K protein. The tPA sequences are the same as those described for pSVF8-80. Plasmid
pSVF8-92J. This plasmid is a derivative of pSVF8-92G in which the tPA 5' region is
replaced with 75 bp of Herpes simplex virus-1 (HSV-1) gD 5' untranslated sequences
and 75 bp of HSV-1 gD signal sequence. pSVF8-92J also lacks the Ala - Ser substitution
(R.J. Watson et al, Science (1982) 218:381-384).
(C) 3' Untranslated Region Changes Plasmid pSVF8-92C. This plasmid is a variation
of pSVF8-92B in which the Mr 92 K coding region is fused directly to the translational stop codon and natural
3' untranslated sequences of human Factor VIII:C cDNA.
Plasmid pSVF8-92L. This plasmid is a derivative of pSVF8-92C in which the 3' untranslated
region of pSVF8-92C is replaced with the 3' untranslated region of pSVF8-80.
(D) Results
[0069] Each of the plasmids of parts A-C above was transfected into COS7 cells along with
pSVF8-80 as described in Example 1 and the media tested for Factor VIII:C activity
as in Example 1 (F).
pSVF8-92B, the first tested, showed activity levels ranging from 2-to-8-fold better
than pSVF8-92. Of the remaining plasmids pSVF8-92E appeared to be the best, being
1.65-fold better than pSVF8-92B. pSVF8-92J and I also produced substantially higher
expression levels than pSVF8-92, being close to that of pSVF8-92E. The expression
level of pSVF8-92G approximated that of pSVF8-92, whereas that of pSVF8-92H was substantially
less than pSVF8-92. The expression levels of both pSVF8-92C and pSVF8-92L appear to
be equivalent of that of pSVF8-92E.
Example 3
[0070] This example describes the preparation of constructs for producing polypeptides that
consist of the M
r 92 K chain and a portion of the B domain. These derivatives were made in an attempt
to develop a heavy chain that is more stable and/or assembles more efficiently into
an active complex with the light chain. The derivatives were chosen to mimic molecular
species that have been observed in plasma-derived preparations of Factor VIII:C and
in cell lysates and conditioned media from cells expressing recombinant full-length
Factor VIII:C. Polypeptides of approximately the same size could possibly arise by
thrombin cleavages of full-length Factor VIII:C.
(A) pSVF8-92S: This plasmid encodes a 982 amino acid heavy chain and was prepared
from a full-length cDNA plasmid pSVF8-302 by cleavage at the first Sacl site of the
B-domain coding region. An oligonucleotide adaptor was used to install a translational
stop codon and fuse the coding sequence to the natural human Factor VIII:C 3' untranslated
sequence beginning at the first Ball site. This plasmid encodes the first 978 amino
acids of native human Factor VIII:C and 4 substituted amino acid residues at the carboxy
terminus.
(B) pSVFB-160: This plasmid provides a 1323 amino acid heavy chain and was prepared
from a full-length clone (designated pSVF8-303) similar to pSVF8-200, but having the
5' untranslated region of pSVF8-92E. pSVF8-303 was cleaved with EcoRV and Smal, and
the blunt ends were ligated together to form pSVF8-160. This plasmid encodes the first
1315 amino acids of Factor VIII:C. Eight substituted amino acids are added at the
carboxyl terminusas a result of the fusion of the polylinker of the vector pSV7d.
(C) pSVF8-1790: This plasmid provides a 1416 amino acid heavy chain and was also prepared
from pSVF8-303. pSVF8-303 was partially digested with Bglll, and the resulting 6811
bp fragment was gel isolated and the ends ligated together to form pSVF8-170. This
plasmid encodes the first 1405 amino acids of Factor VIII:C and has a carboxyl extension
of 11 amino acids due to fusion of the polylinker of the vector pSV7d
(D) pSVF8-120: This plasmid provides a 1107 amino acid heavy chain and was prepared
from pSVF8-303. The plasmid pSVF8-303 was digested with Apal and the cohesive ends
were filled in with T4 polymerase. The resulting molecule was further digested with
Smal, the DNA self-ligated and propagated in E. coli HB101. This plasmid encodes 1102
amino acids from the amino terminus of Factor VIII:C plus an additional 5 amino acids
at the carboxyl terminus, encoded by the pSV7d polylinker.
(E) Results
[0071] Each of the plasmids of parts A-D was transfected into COS7 cells along with pSVF8-80
as described in Example 1 and the media tested for Factor VIII:C activity as in Example
1.
[0072] All of these plasmids showed substantially reduced expression levels compared to
that of pSVF8-92E. Interestingly, though, the ratio of RIA to Coatest activity for
pSVF8-160 and pSVF8-170 is about 1.8, compared to 7.2 for pSVF8-92E. This result suggests
that these longer heavy chain derivatives have a higher specific activity, that is,
they are more efficiently assembled into active subunit complexes than the M
r 92 K molecule itself. Also, the ratio of coagulation activity to Coatest activity
is lower for the longer heavy chains at about 1.7 compared to 2.3 for M
r 92 K and 1.35 for the complete molecule, suggesting that these longer polypeptides
form complexes which are not as activated as that of the M
r 92 K + M
r 80 K complex.
Example 4
[0073] This example describes the preparation of stable CHO cell lines that produce the
Factor VIII:C M
r 92 K-80 K chain complex.
(A) Preparation of a plasmid encoding a selectable marker
[0074] The plasmid pAd-DHFR, bearing the murine DHFR cDNA, was constructed by fusing the
major late promoter from adenovirus-2 (Ad-MLP, map units 16-27.3) to the 5' untranslated
sequences of the mouse DHFR cDNA (J.H. Nunberg et al, Cell (1980) 19:355-64). SV40
DNA encoding part of the early transcription unit, including the intron of the small
t antigen gene, and having the SV40 early region transcriptional termination region,
was obtained from pSV2-neo (Southern and Berg, J Mol Appl Gen (1982) 1:327-41) and
fused to the 3' untranslated end of the DHFR cDNA. These three segments were subcloned
into pBR322 to obtain plasmid pAd-DHFR.
(B) Transfection and culture of CHO cells
[0075] CHO-DUKX-B11 cells carrying non-functional genes for dihydrofolate reductase (Urlaub
and Chasin, Proc Nat Acad Sci USA (1980) 77:4216-4220) were transfected with a calcium
phosphate coprecipitate of three plasmids: pSVF8-92C, pSVF8-92E, or pSVF8-80, and
pAd-DHFR following the method of Graham and Van der Eb, supra, and modifications described
by Wigler et al, Cell (1978) 14:725-731 and Lewis et al, Somatic Cell Genet (1980)
6:333-347. Coprecipitates contained up to 10 u.g of each plasmid. Cells were selected
for expression of the DHFR (positive) phenotype in a medium deficient in hypoxanthine
and thymidine.
[0076] After isolation of DHFR positive clones and identification of those producing Factor
VIII:C activity, the resulting cell lines were grown in methotrexate to amplify the
DHFR genes and coamplify the Factor VIII:C genes. This selection was performed by
plating cells in medium containing methotrexate in concentrations ranging from 0.025
to 0.2 u.M. Methotrexate resistant clones were again assayed for Factor VIII:C activity.
(C) Assay Methods
[0077] Conditioned media from these DHFR positive clones were assayed by ELISA for Factor
VIII:C light chain immunoreactivity by the method of Nordfang et al, Thromb Haemostas
(1985) 53:346-50. Factor VIII:C heavy chain immunoreactivity was evaluated using a
radioimmunoassay (RIA) described by R.L. Burke et al, J Biol Chem (1986) 261:12574-78.
Active Factor VIII:C complexes formed by co-expression of the 92 K and 80 K M
r glycoproteins were measured using the COATEST assay described in Example 1.
(D) CHO lines expressing active 92 K-80 K Mr complexes
[0078] Shown in Table 5 are four independent CHO cell lines that simultaneously express
products of all three plasmids used for transfection. The Factor VIII:C activity values
shown in Table 5 are those initially observed. Expression of glycoproteins by stable
cell lines usually improves after passage in T-75 flask cultures. An example of this
can be seen for the line 10-C2, which ultimately produced 200 mU Factor VIII:C activity
per mL conditioned medium (Table 6). Cloning these stable cell lines illustrates that
the independently expressed heavy and light chains of Factor VIII:C can assemble into
an active complex and be secreted by Chinese hamster ovary cells.

[0079] That the three plasmids were integrated into the chromosomes of the CHO cells is
suggested by the fact that the cell lines of Table 5 could be grown for many passages
without loss of Factor VIII:C expression. It was then necessary to determine if expression
of Factor VIII:C glycoproteins could be co-amplified by methotrexate selection. All
four of these cell lines were placed under selection in several concentrations of
methotrexate. Resistant colonies (DHFR genes amplified) were obtained for ach line
and these were screened for Factor VIII:C activity. Expression of Factor VIII:C was
lost or unchanged in methotrexate resistant 11-D5 and 11-D6 clones. Expression of
Factor VIII:C varied among methotrexate resistant clones derived from 10-C2 and 8-C1
(shown in Table 6).
[0080] Twenty-two methotrexate-resistant 8-C1 clones were examined, the data for 10 of which
are reported in Table 6. The amount of Factor VIII:C amplification varies among clones,
suggesting that either one of the subunit genes may have been co-amplified with the
DHFR cassette, or both of them, or neither one. Note clones 8C1-A2, 8C1-C2, and 8C1-C5
as examples of these four possibilities. Similarly, 30 methotrexate-selected derivatives
of 10-C2 were evaluated, the data for 20 of which are also represented in Table 6.
These also contain a spectrum of activity. Note clones 10C2-A2, 10C2-D2, 10C2-B5,
and 10C2-C6 as examples of the four different co-amplification possibilities.

[0081] Among the CHO lines described in Table 6 is one (10C2-D2) that produces 0.5 U/mL
of active Factor VIII:C complex, which is one half the concentration found in normal
human plasma. For analysis and purification of Factor VIII:C material, CHO cell lines
expressing Factor VIII:C polypeptides were grown in laboratory scale fermentation
to produce 1-2 liter quantities of tissue culture fluid. Assay of this material showed
that approximately 10% to 20% of immunoreactive Factor VIII:C from unamplified lines
is active in the COATEST. In amplified lines, the percentage of active material drops
to 2% to 5% of the total immunoreactive product. This means that only a fraction of
the heavy and light chains of FVIII:C is assembled into active complexes. The remainder
may exist as free subunits or in degraded forms.
[0082] Plasmids pSVF8-92 and pSVF8-80 were deposited at the American Type Culture Collection
(ATCC) on 24 January 1986 and given ATCC Accession Nos. 40222 and 40223, respectively.
Plasmid pSVF8-200 was deposited at the ATCC on 17 July 1985 and was given ATCC Accession
No. 40190.
Example 5
[0083] This example describes modification of the plasmid pSVF8-80 to correct the aminoterminal
amino acid of the FVIII:C light chain glycoprotein. A consequence of engineering,
which provided the signal peptide needed for independent secretion of the 80 K M
r glycoprotein (Example 1 ) is the substitution of Ser for the normal aminoterminal
residue of human plasma FVIII:C light chains. New plasmids were made in an attempt
to change the tPA pre-pro peptide sequence, so that the FVIII:C light chain will have
the Glu residue at its aminoterminus instead of the mutant Ser residue after proteolytic
processing.
[0084] The FVIII:C light chain is thought to be cleaved from the full-length FVIII:C precursor
before secretion, i.e. intracellularly, by a protease resident in the Golgi apparatus.
This cleavage occurs between amino acid residues 1648 and 1649 (Arg-Glu). On polyacrylamide
gels the light chains appear as a doublet of 77 and 80 K M
r bands, representing polypeptides having one or two N-linked oligosaccharides. Independent
secretion of light chains was achieved by fusion of the light chain coding region
of the FVIII:C cDNA to the cDNA of tPA. In the process of supplying the tPA signal
peptide, however, the amino terminus of the FVIII:C light chain was mutated from the
native glutamic acid residue to a serine. Although this mutant recombinant light chain
displays molecular characteristics similar to the chain derived from full-length recombinant
FVIII:C, there is preliminary evidence that 1 ) it may not be alternatively glycosylated
in the same manner as the chain cleaved from the FVIII:C precursor, 2) it may behave
differently during purification by ion exchange and vWF Sepharose chromatography,
and 3) it may be different antigenically from authentic light chain.
[0085] The tPA pre-pro peptide sequence requires three proteolytic cleavages to release
the mature polypeptide. Shown below is the translation of the protein coding sequence
of pSVF8-80 in the region of the tPA-FVIII:C 80 K fusion:
pSVFB-80:

The signal peptidase cleavage has been thought to occur on the carboxy side of either
Ser (position -13) or Ala (position -8), indicated by asterisks. The second cleavage
probably occurs on the carboxy side og Arg (position -4, indicated by @ above). The
third processing event is proteolysis at the Arg-Ser bond to release a Gly-Ala-Arg
tripeptide and leave a Ser (position 1 ) aminoterminus on the mature tPA or FVIII:C
light chain polypeptides.
(A) Preparation of plasmids
(1) pSVF9-80KG:
[0086] The Ser codon (position 1 ) was changed by site-directed mutagenesis to a Glu codon
(position 1). This was done in an effort to allow the first two proteolytic processing
events to occur normally, and test whether the Arg-Glu protease could recognize and
cleave the dipeptide in an altered context, i.e. , where the tPA tripeptide is susbtituted
for the FVIII:C B domain. The tPA-80 K chain fusion region is shown below. Otherwise,
this plasmid is identical to pSVF8-80.

(2) pSVF8-80S:
[0087] Twelve codons were deleted from pSVF8-80 by in vitro mutagenesis, and the Ser (position
1 ) codon changed to a codon for Glu. This placed the Glu FVIII:C light chain residue
after Ser23 of the putative tPA signal peptide (indicated by an asterisk). Cleavage
by signal peptidase on the carboxy side of Ser23 releases the non-mutant FVIII:C light
chain. The tPA - 80 K chain fusion region of pSVF8-80S is shown below. Otherwise this
plasmid is identical to pSVF8-80.
pSVFB-80S:

(3) pSVF8-80R:
[0088] A deletion of three codons of pSVF8-80, to remove the tPA pro-tripeptide, was made
by in vitro mutagenesis, and the Ser (position 1 ) codon was changed to one for Glu.
This places a Glu residue after Arg32 of the tPA pro-peptide, marked with @ on the
tPA-80 K chain fusion region of pSVF8-80R shown below:
pSVF8-80R:

This construction was made in the hope that cleavage by a Golgi-resident protease
with dibasic specificity would release FVIII:C light chains having Glu amino termini.
(4) pSVF8-80A:
[0089] Seven codons of pSVF8-80 were deleted by site-directed mutagenesis, removing the
DNA encoding the putative tPA pro sequence, and the Ser (position 1 ) codon was replaced
by a Glu codon after codon 28 (Ala) of the putative tPA signal peptide coding sequence
(indicated by an asterisk below). Cleavage by signal peptidase on the carboxy side
of Ala28 with release non-mutant FVIII:C light chain. The tPA-80 K chain fusion region
is shown below. Otherwise, this plasmid is identical to pSVF8-80.
pSVFB-80A:

(B) Expression and protein sequence analysis
(1) Transfection into COS7 Cells:
[0090] COS7 cells were transfected using the DEAE-dextran procedure described in Example
1, and conditioned media were assayed by the LC-ELISA. All four derivatives of pSVF8-80
encode 80 K M
r glycoproteins that are reactive in the LC-ELISA and that can be immunoprecipitated
after biosynthetic radio-labeling with various anti-FVIII:C light chain antibodies.
Except for pSV/8-80R, all the derivatives lead to secretion of about the same amount
of 80 K glycoprotein as pSVF8-80. Secretion of 80 K glycoprotein from cells transfected
with pSVF8-80R is very poor, usually less than 25% of that produced from the other
plasmids. In addition, the appearance of this FVIII:C light chain is different on
gel electrophoresis, where the bands are always diffuse.
(2) Expression in CHO Cells:
[0091] Each of these plasmids was introduced into DUKX-B11 CHO cells with pAd-DHFR as described
in Example 4. Permanent cell lines were established for production of each type of
light chain. Expression of the 80 K M
r glycoproteins in CHO cells is very similar to expression in COS7 cells, with respect
to the amounts of glycoprotein secreted and the appearance of the 80 K bands on gel
electrophoresis. CHO lines transfected with pSVF8-80R produced such a low level of
80 K glycoprotein that analysis of this material was not done.
3. Purification and amino acid sequence analysis
[0092] Conditioned media from either large scale COS7 transfections (pSVF8-80KG) or from
transfected (amplified) CHO cell lines (pSVF8-80K cell line 10C2B5; pSVF8-80A, cell
line A1N; pSVF8-80S, cell line SIR) were prepared. The medium was DME H12 with 10%
FBS. FVIII-LC was purified for sequencing by a two-step procedure comprising ion exchange
chromatography followed by affinity chromatography. Ion exchange chromatography was
performed as follows: A column of S-FF Sepharose (15 x 0.8 cm) was equilibrated with
0.02 M MES, 0.05 M NaCl, 0.01 M CaC1
2, pH 5.8, lambda
20°C = 7.2 mS. Conditioned medium (500-1300 mL) was applied to the column after adjustment
of pH to 5.8 with a flow rate of 100 mL/h. The column was washed with 10 column volumes
of 0.05 M imidazole, 0.05 M NaCl, 0.01 M CaCl
2, pH 7.35, lambda
20°C = 8.8 mS at a flow rate of 200 mL/h. FVIII-LC was eluted by addition of 0.1 M CaC1
2 to the washing buffer, flow rate 50 mL/h. All operations were performed at 4
° C.
[0093] Affinity chromatography was performed as follows: The murine monoclonal anti-FVIII-LC
antibody 56-IgG was coupled to Sepharose 4B by the CNBr method to a density of 2.5
mg/mL gel. The FVIII-LC containing eluate was incubated with the immunosorbent overnight
at room temperature, 1 mL of gel per 1000 units FVIII-LC. The gel was then packed
into a column and washed with 20 column volumes of a low salt buffer (0.05 M imidazole,
0.15 M NaCl, 0.01 M CaCl
2, 10% glycerol, 0.02% NaN
3, pH 7.3), followed by 20 column volumes of a high salt buffer (0.05 M imidazole,
1.0 M NaCl, 10% glycerol, pH 7.3). FVIII-LC was eluted from the immunosorbent using
1 M CaC1
2 in 0.05 M imidazole, 0.15 M NaCl, 10% glycerol after one hour incubation. The eluate
was immediately desalted on a Sephadex G-25 column to a solution of 0.05 M imidazole,
0.15 M NaCl, 0.01 M CaCl
2, 10% glycerol, 0.02% Tween 80, 0.02% NaN
3, pH 7.3 and stored at -80
° C. N-terminal sequence analysis was performed on an Applied Biosystem 477A sequencer.
[0094] The results of this analysis are shown in Table 7. The 80 K glycoprotein encoded
by pSVF8-80KG has a tripeptide extension on its aminoterminus. Presumably this is
the tPA pro tripeptide Gly-Ala-Arg, which cannot be processed by the Arg-Glu protease
that recognizes the FVIII:C B domain. Further, the N-terminal sequences reveal that
the signal peptide of tPA is actually 22 amino acid residues in length, with signal
peptidase cleavage occurring on the carboxy side of Pro22. Therefore, plasmid constructions
pSVF8-80S and pSVF8-80A, predicated upon signal peptidase cleavage after Ser 23 and
Ala 28, respectively, lead to incorrect amino terminal residues on the 80 K light
chains.

[0095] Results shown in this example reveal the difficulty of predicting how a secreted
polypeptide will be processed following transcription and translation. Modifications
of the protein sequence have unexpected consequences for proteolytic processing and
oligosaccharide addition, and can affect the overall efficiency of secretion.
Example 6
[0096] This example describes a method for expression of authentic FVIII:C light chains
using the signal peptide of human a1-antitrypsin.
A. Preparation of plasmids
1. pSVaIAT.Met
[0097] A cDNA encoding the mature human a1-antitrypsin polypeptide had been assembled using
fragments of human liver cDNA clones and a synthetic oligonucleotide; the assembly
was ligated as a BamHl-Sall fragment into pBR322 to make plasmid pAT(Met) (Rosenberg
et al, Nature (1984) 312:77-80). A synthetic oligonucleotide linker-adapter and part
of a cDNA clone encoding the signal peptide were used to attach the signal peptide
coding sequence, with an EcoRl restriction site on the 5' end, to the BamHl site of
pAT(Met). The resulting 1271 bp EcoRl-Sall fragment, encoding the translated sequences
of human a1-antitrypsin, was ligated into the EcoRl-Sall sites of pSV7d (described
in Example 1) to make pSVα1AT.Met.
2. pSVFB-80AT
[0098] Plasmid pSVα1AT.Met was opened at the BamHl site, which occurs at the boundary between
the codons of the signal peptide and mature a1-antitrypsin sequences. The cohesive
end of this restriction site was removed with mung bean nuclease to leave the GAG
(Glu) codon, and the α1-antitrypsin sequence was deleted by digestion with Sall. The
coding sequence of FVIII:C 80 K was prepared for attachment by in vitro mutagenesis
of codons 1 and 2 of pSVF8-80 to form an EcoRV site (which preserves codon 2 as an
Ile codon). This allowed the FVIII:C light chain coding sequence (as an EcoRV-Sall
sequence starting ag codon 2) to be fused in correct reading frame to codon 1 of a1-antitrypsin,
and replace the coding sequence of mature human a1-antitrypsin.
[0099] The coding sequence of pSVF8-80AT at the region of fusion is shown translated below.
Except for substitution of the α1-antitrypsin signal peptide coding sequence for the
tPA pre-pro coding sequence, this plasmid is identical to pSVF8-80.
pSVF8-80AT (amino terminal region):

B. Expression and amino acid sequence analysis
1. Expression of pSVF8-80AT in COS7 cells
[0100] COS7 cells were transfected with pSVF8-80AT and a heavy chain expression plasmid,
usually pSVF8-92C. Conditioned media were assayed by LC-ELISA, HC-ELISA and COATEST.
Transfected cells were also labeled with radioactive Met, so that the biosynthetically
radiolabeled FVIII:C light chains could be immunoprecipitated and visualized after
polyacrylamide gel electrophoresis. Plasmid SVF8-80AT directs the synthesis of FVIII:C
light chains that appear as a doublet of 77-80 K M
r.The amount produced in COS7 cells is the same as for pSVF8-80. Co-expression with
pSVF8-92C, or other FVIII:C heavy chain plasmid, leads to production of active FVIII:C
complexes measured in the COATEST assay.
2. Purification and amino acid sequence analysis
[0101] Material for purification was prepared by transfection of COS7 cells in T-175 flasks,
using increased cell density and decreased chloroquine diphosphate concentration.
Conditioned media were collected 60 hours after transfection. Purification and amino
acid sequence analysis were performed as described in Example 5. The results of aminoterminal
sequence analysis (Table 8) indicate that the FVIII:C light chain encoded by pSVF8-80AT
has the same aminoterminal sequence as authentic human plasma FVIII:C light chain.

3. In vitro assembly of 80AT FVIII:C light chains
[0102] The ability of 80 AT FVIII:C light chains to recombine with purified FVIII:C heavy
chains in vitro was tested in an experiment shown in Table 9. Purified FVIII:C light
chains were incubated at concentrations of 3.7 U/mL with purified recombinant (from
full-length human FVIII:C) heavy chains at 17 U/ml in buffer containing 50 mM Mn
+2 and 150 u.M β-mercaptoethanol. As the control, purified recombinant heavy and light
chains were allowed to reassociate under the same conditions, and the quantity of
active FVIII:C produced was assayed by COATEST. These results suggest that the 80AT
FVIII:C light chain can be combined in vitro with purified recombinant heavy chain.

Example 7
[0103] This example describes plasmids for improved expression of the Factor VIII:C heavy
chain. Modifications in DNA sequences responsible for the initiation of transcription
and in non-coding sequences are made in order to increase the efficiency of transcription
and the stability of the messenger RNA. The heavy chain glycoprotein is modified by
a carboxyterminal extension composed of segments of the B domain joined by a short
peptide. This is done to obtain a heavy chain that is secreted from cells more efficiently,
is more stable in tissue culture medium, and assembles more efficiently with the light
chain.
A. Preparation of plasmids
1. pCMVF8-92/6x
[0104] In an effort to improve the level of transcription and stability of the messenger
RNA for the Factor VIII:C 92 K M
r heavy chain, the SV40 early transcriptional initiation region was replaced by sequences
from the human cytomegalovirus immediate early region (Boshart et al, Cell (1985)
4:521-530). In addition, 5' untranslated sequences contributed by the SV40 early region
to the messenger RNA were replaced with the 5' untranslated sequences of the HCMV
1 E1 gene, including its first intron. This intron is included on the assumption that
spliced transcripts lead to faster processing and more stable mRNA. The expression
vector also has an SV40 origin of replication to permit transient expression in COS7
cells, and a bacterial ,8-lactamase gene to permit DNA cloning by selection for ampicillin
resistance.
[0105] The plasmid was constructed from a 700 bp Sall-Pvul fragment of pSV7d (described
in Example 1) containing the SV40 polyadenylation region, a 1400 bp Pvul-EcoRl (filled
in with Klenow polymerase) fragment of pSVT2 (Myers et al, Cell (1981) 25:373-84;
Rio et al, Cell (1983) 32:1227-40) providing the SV40 origin of replication and the
rest of the β-lactamase gene, a 1700 bp Sspl-Sall fragment derived from a plasmid
subclone of the human cytomegalovirus (Towne strain) in which the Sall site was introduced
by in vitro mutagenesis near the translational start site for the 1 E1 protein, and
the 4300 bp Sall-Sall fragment of pSVF8-92C (described in Example 2) containing the
cDNA encoding the Factor VIII:C 92 K M
r glycoprotein.
2. pSVFB-92tβ
[0106] This plasmid is a derivative of pSVF8-92C that encodes the 92 K M
r recombinant heavy chain with a C-terminal extension composed of N-terminal and C-terminal
amino acid residues of the central (B) domain of the Factor VIII:C precursor linked
by a peptide hinge peptide homologous to that of human immunoglobulin a heavy chain.
It is composed of a 4900 bp Hindlll-Sall fragment from pSVF8-92C, into which was inserted
a 110 bp Hindlll-Sall synthetic linker-adapter (shown below).

The linker-adapter encodes a carboxy-terminal extension of 34 additional amino acid
residues, and one potential site of N-linked glycosylation. The C-terminal peptide
should increase the molecular weight of the heavy chain to approximately 96 K M
r, and to about 99 K M
r if it is glycosylated.
B. Assay for FVIII:C heavy chain antigen and FVIII:C complex formation
[0107] The cofactor activity of the FVIII:C light chainheavy chain complex was estimated
using a commercially available test kit from KabiVitrum (COATEST). Immunoreactive
FVIII:C light chain was measured by ELISA using HZ IgG coating antibody and peroxidase-conjugated
antibodies from Nordisk Gentofte. The FVIII:C heavy chain immunoreactivity was quantified
using an ELISA developed at Nordisk Gentofte, which employs human polyclonal from
an inhibitor patient (E-lgG).
C. Transient expression of pCMVF8-92/6x
[0108] The pCMVF8-92/6x plasmid was cotransfected with various FVIII:C light chain plasmids
(described in Example 5) into COS7 cells using the DEAE-dextran procedure. A sample
of results from these transfections is shown in Table 10. The data suggest that addition
of the CMV 1 E1 promoter/enhancer and the 5' untranslated sequences of the 1 E1 gene
yields a 2.5 fold improvement (on average) in FVIII:C heavy chain expression.

D. Transient expression in COS7 Cells of pSVF8-92tβ
[0109] Shown in Table 11 are the results of cotransfecting pSVF8-92tβ with a Factor VIII:C
light chain expression plasmid (pSVF8-80AT, described in Example 6) into COS7 cells.
The 92tβ heavy chain is secreted at higher levels than the 92C heavy chain, which
has a single amino acid (Ser) carboxy-terminal extension. The ratio of COATEST (COA)
activity to ELISA-reactive glycoprotein (a measure of complex formation) is greater
for 92tβ chains than for 92C chains. In addition, the 92tβ heavy chain is secreted
well in serum-free medium and appears to be stable, with a ratio of activity to protein
nearly the same as in 10% FBS. These results show that this 34 amino acid carboxy-terminal
extension improves secretion and stabilizes the recombinant FVIII:C heavy chain.

[0110] Although the foregoing invention has been described in some detail by way of illustration
of example for purposes of clarity of understanding, it will be obvious that certain
changes and modifications may be practiced within the scope of the appended claims.
Example 8
[0111] This example describes a method for expression of a FVIII:C heavy chain having Arg
740 as the C-terminus.
A. Preparation of plasmid pCMVF8-92R
[0112] The FVIII:C heavy chain encoded by the plasmid pCMVF-8-92/6x has Ser
741 as a C-terminal extension. In order to obtain a FVIII:C heavy chain with Arg
740 as the C-terminus, a 1588 bp BamHl fragment of pCMVF8-92/6x, encoding the 3' end
of the coding sequence derived from pSVF8-92C was purified. This fragment was cloned
into m13mp18 and the Ser
741 residue was changed to a translational stop codon by in vitro mutagenesis. The pCMVF8-92R
expression plasmid was assembled by cloning the mutagenized BamHl fragment into the
5840 bp BamHl fragment of the original vector. By this procedure 680 bp of FVIII:C
3' untranslated sequences were deleted.
B. Transient expression in COS7 cells of pCMVF8-92R
[0113] The pCMVF8-92R plasmid was co-tranfected with the FVIII:C light chain plasmid pSVF8-80AT
(described in Example 6) into COS7 cells using the calcium phosphate technique (Graham
and van der Eb, Virol (1973) 52:456-67). The media were changed 18 and 42 hours post-transfection.
Media samples for assays were collected 66 hours post-transfection. The results from
these assays are shown in Table 12 below. The data shows that FVIII:C activity was
generated when pCMVF8-92R was co-transfected with a plasmid providing expression of
FVIII LC.

Plasmids pSVF8-92 and pSVF8-80 were deposited at the American Type Culture Collection
(ATCC) on 24 January 1986 and given ATCC Accession Nos. 40222 and 40223 respectively.
Plasmid pSVF8-200 was deposited at the ATCC on 17 July 1985 and was given ATCC Accession
No. 40190.